You are evaluating a 36 year-old male with a history of episodic angry outbursts (both verbal and physical), for more than 3 months, that occur impulsively and are described as “over-the top”. The outbursts of anger are at times unprovoked and the patient has suffered job and relationship loss due to these outbursts.  In between episodes he presents calmly and has some remorse following an episode. He endorses some marijuana and alcohol use socially. There is no significant medical or prior psychiatric history or diagnosis. What is the most appropriate diagnosis at this time?

The patient who has a soft abdomen and a budded ileal conduit stoma will require what characteristic in the skin barrier surface of pouching system?

Which of the following surgical procedures involves a wide resection of the rectum and anus and may lead to sexual dysfunction?

Susie appears in the clinic with an ileostomy and changes her pouch every 7 days although recently she has experienced inconsistent  pouch  wear  time  due  to  leakage. Her  stoma protrudes, is  1 ¼” round  and  has erythema and denudation from 6 o’clock to 9 o’clock. Her abdomen is flat and firm, so you do not believe convexity is needed. Her pouch has an extended wear skin barrier and is  the correct  size.  She recently began playing tennis daily  in competitions. Your recommendation is:

Six months postoperatively, you can expect the patient with which of the following urinary diversions to be using bedside drainage at night?

Trevor is a 9-month-old baby with Hirschsprung’s disease and a loop transverse colostomy. You explain to his parents that the stool will be expelled from the functioning limb which is also known as the:

The assessment that is most indicative of the adequacy of stomal perfusion in the immediate postoperative period is:

The retained and over sewn rectal segment following a temporary descending colostomy is known as a(n):

Which of the following surgical procedures is performed to protect a distal bowel anastomosis site?

On the 3rd postoperative day, the staff nurse notes that the entire ileal conduit stoma has a dark reddish-black appearance. She notifies the Ostomy Care Nurse Specialist; what should be the NEXT step taken by the WOC Nurse?